Individual
MS. KATHLEEN GERSEK BODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD/N,CDE
Contact information
Practice address
1350 13TH AVE S, JACKSONVILLE BEACH, FL 32250-3203
(904) 627-2900
(904) 376-4925
Mailing address
3972 PETITE DR W, JACKSONVILLE, FL 32250-2206
(904) 223-3586
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND498
FL
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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